2017 Maryland Code
Health - General
Title 7 - Developmental Disabilities Law
Subtitle 9 - Licensing
§ 7-909. Inspections and reports of licensees; regulations.

  • (a) "Licensee" defined. -- In this section, the word "licensee" means a person who is licensed by the Department under this title to provide services.
  • (b) Inspections; performance evaluations of surveyors. --
    • (1) The Department shall inspect each site or office operated by a licensee at least once annually and at any other time that the Department considers necessary.
    • (2) The Department shall evaluate periodically the performance of surveyors who carry out inspections under this subsection to ensure the consistent and uniform interpretation and application of licensing requirements.
  • (c) Reports. -- The Department shall keep a report of each inspection.
  • (d) Deficiencies. -- The Department shall bring any deficiencies to the attention of:
    • (1) The executive officer of the licensee; or
    • (2) In the case of an intermediate care facility-intellectual disability, the State Planning Council and the State-designated protection and advocacy agency.
  • (e) Prioritization system for investigations. --
    • (1) The Department shall adopt regulations that establish a system of prioritization to respond to and investigate serious reportable incidents, as defined by the Department, in the areas of abuse, neglect, serious injury, and medication errors that threaten the health, safety, and well-being of individuals receiving services funded by the Department in State-operated and in community programs licensed by the Department.
    • (2) The Department shall seek input from individuals with disabilities and their families, licensees, and advocacy organizations in developing the regulations, prior to publishing the regulations in the Maryland Register for public comment.
    • (3) The regulations shall define and address:
      • (i) The procedures and timelines that providers must follow when reporting serious reportable incidents and deaths to the Department;
      • (ii) The Department's protocol to determine the necessity to investigate a serious reportable incident that takes into account:
        • 1. The severity of the incident;
        • 2. The quality of the licensee's internal investigation; and
        • 3. The number and frequency of serious reportable incidents reported by the licensee to the Department;
      • (iii) The specific roles and responsibilities of each governmental unit involved in any follow-up investigations that may occur due to a licensee's report of a serious reportable incident or death;
      • (iv) Methods of investigations, including on-site investigations;
      • (v) Timelines for response to serious reportable incidents and deaths and investigation of serious reportable incidents and deaths;
      • (vi) Timelines for issuing specified reports, including corrective action plans, to the Department, licensee, Mortality and Quality Review Committee, Medicaid Fraud Unit, individuals receiving services from the licensee involved in the incident and their guardians or family members, and others; and
      • (vii) Follow-up protocols for the Department to ensure that corrective action has been implemented by the licensee.
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